Seidi Foad, Rajabi Reza, Ebrahimi Ismail, Alizadeh Mohamad Hossein, Minoonejad Hooman
Sports Injuries and Corrective Exercises, Department of Health and Sport Medicine, University of Tehran, Tehran, Iran.
Department of Physiotherapy, Tehran University of Medical Sciences, Tehran, Iran.
J Back Musculoskelet Rehabil. 2014;27(1):7-16. doi: 10.3233/BMR-130411.
Corrective exercise interventions are often utilized to manage subjects with thoracic hyper-kyphosis, yet the quality of evidence that supports their efficiency is lacking. In this study, the efficacy of local and comprehensive corrective exercise programs (LCEP and CCEP) on kyphosis angle was evaluated.
A prospective, randomised controlled design was used in the present study. Sixty patients with postural hyper-kyphosis deformity (⩾ 42°) entered the study for 12 weeks. Subjects were randomly assigned to a LCEP (n=20), CCEP (n=20), or Control groups (n=20). Pre- and post-participation levels of kyphosis angle were measured by flexicurve ruler.
Both the LCEP and CCEP groups demonstrated statistically significant reductions in thoracic kyphosis angle compared to the control group (p=0.001). Furthermore, based on Cohen's d-value, the efficiency of CCEP was larger than LCEP.
Considering the extremely large effect size of the CCEP, we recommend that this program be used in the correction of postural hyper-kyphosis deformity in future.
矫正运动干预常用于治疗胸椎后凸过度的患者，然而支持其有效性的证据质量不足。本研究评估了局部和综合矫正运动方案（LCEP和CCEP）对后凸角度的疗效。
本研究采用前瞻性随机对照设计。60例姿势性胸椎后凸畸形（⩾42°）患者进入研究，为期12周。受试者被随机分为LCEP组（n = 20）、CCEP组（n = 20）或对照组（n = 20）。参与前后的后凸角度通过柔性曲线尺测量。
与对照组相比，LCEP组和CCEP组的胸椎后凸角度均有统计学意义的降低（p = 0.001）。此外，根据科恩d值，CCEP的效果大于LCEP。
考虑到CCEP的效应量极大，我们建议未来使用该方案矫正姿势性胸椎后凸畸形。
